FATAL AND OTHER CASES OF PUERPERAL MANIA

Cases of Puerperal Eclampsia

Two Cases of Puerperal Pleuropneumonia

The following cases of singular interest occurred in my practice in the latter part of last year. As they were observed with a considerable amount of care, and as I cannot but think they are not of very usual occurrence, and as I believe they might serve for encouragement to some medical brother in charge of patients similarly affected, I have deemed it advisable to publish them. It is to be no...

Puerperal thromboembolic disease in "high risk" cases.

One hundred obstetric patients were studied for evidence of puerperal thromboembolic disease. Only one case of deep vein thrombosis was detected in patients thought to be in a "high risk" category because of age or operative intervention. Clinical findings were unreliable compared with measurements of (125)I-labelled fibrinogen uptake. Doppler ultrasound flow detection proved a simple screening...

Near fatal puerperal fever due to Mycoplasma hominis.

We describe a case of severe septicaemia caused by Mycoplasma hominis in a 23 year old patient following childbirth. She developed disseminated intravascular coagulation and acute respiratory distress syndrome which have not hitherto been described in association with septicaemia due to this organism. Investigation and treatment leading to full recovery is outlined.

Near fatal puerperal thrombosis on Björk-Shiley mitral valve prosthesis.

A 22-year-old woman required emergency mitral valve replacement three weeks post partum because of thrombotic obstruction of her prosthetic mitral valve. Low dose subcutaneous heparin was administered from the 17th week of pregnancy. Though there was a successful fetal outcome, heparin did not prevent thrombosis on the prosthesis and its continuation into the puerperium proved nearly fatal.